Active NPI
Manatee Urgent Care LLC
- Urgent Care Clinic/Center
- Bradenton, FL
National Provider Identifier
1477174456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- MANATEE URGENT CARE LLC
- Practice address
- 4647 Manatee Ave W
Bradenton, FL 34209-3816 - Phone
- (941) 745-5999
- Fax
- (941) 745-3555
- NPI assigned
- May 1, 2020
- Last updated
- May 1, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Todd Evans
- Title
- VP
- Phone
- (610) 382-4943
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
4647 Manatee Ave W
Bradenton, FL 34209-3816
Mailing address
367 S. Gulph Road
Att: Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (610) 382-4943
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588291200000",
"number": "1477174456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 S. GULPH ROAD",
"address_2": "ATT: IPM CREDENTIALING",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194063121",
"telephone_number": "610-382-4943",
"fax_number": "610-878-3965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4647 MANATEE AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342093816",
"telephone_number": "941-745-5999",
"fax_number": "941-745-3555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANATEE URGENT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-01",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "610-382-4943",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.